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The importance of preoperative information for patient participation in colorectal surgery care

Author

Listed:
  • Agneta Aasa
  • Malin Hovbäck
  • Carina M Berterö

Abstract

Aims and objectives To identify and describe patients' experiences of a preoperative information session with a nurse, as part of the enhanced recovery after surgery (ERAS) concept, and its impact on patient participation in their own care. Background Enhanced recovery after surgery is a standardised, multimodal treatment programme for elective colorectal surgery, leading to faster recovery and shorter hospital stays via interprofessional collaboration. The ERAS concept is initiated for patients a week before surgery when the patient receives detailed information about the care process during a meeting with a nurse. Design The study is a qualitative interpretive study based on interviews. Methods Twelve patients, nine men and three women, were interviewed. The interviews were transcribed verbatim and analysed using interpretive phenomenological analysis (IPA). Results The analysis identified and formulated five themes: being seen, security, trust, responsibility and participation. All themes are closely related and illustrate positive and negative sides of the patient's experience. They hang together and form a complete set of experiences: ERAS conversation and its impact on patients' participation. Conclusions The results show that patients feel confirmed in the ERAS conversation. Healthcare professionals need to be bonding more information call during hospitalisation. It is important to confirm the patient in order for them to participate and take responsibility. Reliance on caregivers is important for patients to feel safe and to participate in their own care. This study shows that the ERAS conversation was experienced as being structured and individually tailored, but the information must apply to the patients throughout the period of care. Relevance to clinical practice Some shortcomings have been revealed, which should enable improvement in the care of patients. Healthcare professionals need to raise awareness of patients' responsibilities for participation in their own recovery and care. Healthcare professionals and patients need to be aware of each other's responsibilities.

Suggested Citation

  • Agneta Aasa & Malin Hovbäck & Carina M Berterö, 2013. "The importance of preoperative information for patient participation in colorectal surgery care," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(11-12), pages 1604-1612, June.
  • Handle: RePEc:wly:jocnur:v:22:y:2013:i:11-12:p:1604-1612
    DOI: 10.1111/jocn.12110
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    Cited by:

    1. Giulia Villa & Emanuele Galli & Vittoria Azzimonti & Marianna Doneda & Noemi Giannetta & Duilio Fiorenzo Manara, 2022. "Empowerment-Based Education in Urological Patients: A Scoping Review," Clinical Nursing Research, , vol. 31(4), pages 666-689, May.
    2. Monica E Pettersson & Joakim Öhlén & Febe Friberg & Lars‐Christer Hydén & Catarina Wallengren & Elisabeth Kenne Sarenmalm & Eva Carlsson, 2018. "Prepared for surgery – Communication in nurses' preoperative consultations with patients undergoing surgery for colorectal cancer after a person‐centred intervention," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(13-14), pages 2904-2916, July.
    3. Katja Schubert Samuelsson & Monika Egenvall & Inga Klarin & Johan Lökk & Ulf Gunnarsson & Marie Iwarzon, 2018. "The older patient's experience of the healthcare chain and information when undergoing colorectal cancer surgery according to the enhanced recovery after surgery concept," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(7-8), pages 1580-1588, April.
    4. Kirsten Kaptain & Marie‐Louise Ulsøe & Pia Dreyer, 2019. "Surgical perioperative pathways—Patient experiences of unmet needs show that a person‐centred approach is needed," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(11-12), pages 2214-2224, June.

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